NPI | 1356484307 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC W. GUIRGUIS President 440-835-8883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 18958) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2021-03-25 |